APHEIT Journal of Nursing and Health

Hospice Care

นีรชา รุ่งเรืองลาภไพศาล, วิไลวรรณ ตรีถิ่น, ผกา แก้วมณี — Tue, 06 May 2025 17:22:12 SE Asia Daylight Time

Caring for a loved one at the end of life can be an emotionally intense experience, and sometimes the situation may become overwhelmingly difficult to bear. Confronting the complexities and facing the reality of impending loss often leads to distress and anxiety among family members and caregivers. Nevertheless, it reflects profound love, goodwill, and gratitude toward the person who is respected and cherished. This article focuses on alleviating the anxiety experienced by family members and caregivers by preparing them to understand palliative care for terminally ill patients—helping them grasp the philosophy and approach of palliative care, not as a withdrawal of treatment, but as a means of preserving human dignity, alleviating pain and discomfort, and enhancing the patient’s quality of life as much as possible during the final stage of life. Ultimately, the goal is to ensure that death occurs naturally and that the patient passes away peacefully and with warmth.

Factors Related to Ethical Leadership of Nursing Students at a Private Institution in Pathum Thani Province

ฟารีดา คชฤทธิ์, ณภัค จุมพลพงษ์, วลัยนารี พรมลา — Sun, 27 Apr 2025 15:03:19 SE Asia Daylight Time

This survey research aimed to investigate ethical leadership and the factors related to ethical leadership among nursing students at a private institution in Pathum Thani Province. The sample consisted of 212 nursing students from the 1^st to 4^th years. The instrument included an ethical leadership questionnaire, and an environmental factors questionnaire. The index of item-objective of the ethical leadership questionnaire was ranged from 0.67 to 1.00, and the reliability of the ethical leadership and environmental factors questionnaire was evaluated using Cronbach’s alpha coefficients, which were .89 and .93, respectively. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient for correlation analysis.

The findings revealed that 1) the overall mean score of ethical leadership among nursing students was at the highest level (M 4.37, SD 1.80). All subscales were also rated at the highest level. The highest mean score was found in the domain of gratitude (M 4.49, SD 1.08), followed by honesty (M 4.40, SD 1.08). 2) Environmental factors—family, peer group, and educational institution—were found to have a moderate positive correlation with ethical leadership, with statistical significance at p< .001 (r=.655, .638, .478, respectively). Therefore, educational institutions should create a supportive environment that fosters the development of ethical leadership among students.

Effectiveness of Line Application Usage on Knowledge, Attitude, and Practice among Primigravida in Prevention of Accidents during Pregnancy

Sun, 27 Apr 2025 16:15:08 SE Asia Daylight Time

This quasi-experimental research aimed to investigate the effectiveness of using the LINE application on the knowledge, attitude, and practice of primigravida in preventing accidents during pregnancy. The sample comprised 50 primigravida, divided equally into an experimental group and a control group, with 25 participants in each. The experimental group received information on accident prevention during pregnancy through the LINE application, while the control group received standard care. The instruments for conducting research and collecting data included the LINE application, a personal information questionnaire, a knowledge assessment form, an attitude assessment form, and a practical assessment form. The content validity index (CVI) was 1. The reliability of the knowledge assessment was tested using KR 20, yielding a value of .83, and the attitude assessment and practical assessment were tested with Cronbach's alpha coefficient statistics, both yielding a value .77. Data were analyzed using descriptive statistics and comparisons were made using independent t-test and dependent t-test.

The results found that after the intervention, the average scores of knowledge, attitude, and practice of the experimental group were significantly higher than the control group (p<.001, p<.05, p<.01, respectively) and the average post-intervention scores of knowledge, attitude, and behavior of the experimental group were significantly higher than their pre-intervention scores (p<.001, p<.01, p<.05, respectively). Therefore, it is recommended that the LINE application be utilized to educate pregnant women in the early stages of pregnancy, in order to timely and accurate access to information for the prevention of pregnancy-related accidents.

Nurses’ Abilities in Common Symptoms Management among Patients with Advanced Cancer

Mon, 28 Apr 2025 06:29:26 SE Asia Daylight Time

This descriptive study aimed to investigate nurses’ abilities, and the relationships among knowledge, practice, and overall abilities in assessing and managing common symptoms in patients with advanced cancer, using the core competency of nurses and guidelines for symptoms assessment and management in patients with advanced cancer as conceptual framework. A total of 170 registered nurses providing care for patients with advanced cancer were recruited using a purposive sampling method. Data were collected using a personal information sheet and a nurses’ ability assessment form in managing common symptoms in patients with advanced cancer. The content validity index of the assessment form was 1, and the Cronbach's alpha coefficient ranged from .85 to .96. Data were analyzed using descriptive statistics and Spearman's rank correlation.

The research findings revealed that professional nurses perceived their abilities in symptom management—including knowledge, practice, and overall ability to assess and manage all common symptoms in patients with advanced cancer—as a moderate level. Nurses’ knowledge, practice, and the overall abilities to manage all common symptoms in patients with advanced cancer were significantly positively correlated at a moderate to high level (r_s=.651-.835, p<.001). These findings provide foundational information for developing nursing practice guidelines and enhancing nurses’ abilities to effectively assess and manage common symptoms in patients with advanced cancer.

Development of a Patient Care System for Prevention and Control of Antimicrobial Resistant Infections at Nopparat Rajathanee Hospital

Tue, 29 Apr 2025 16:58:35 SE Asia Daylight Time

This research and development study aimed to develop a patient care system for the prevention and control of antimicrobial-resistant infections and to study nursing outcomes. The sample consisted of 30 patient care system development team members and 60 infection control nurses from various wards. Data were collected between May 1, 2023, and June 30, 2024. The research was conducted according to a collaborative quality improvement framework comprising 8 steps. Research instruments included an assessment form for antimicrobial-resistant infection prevention and control practices, a professional nurse satisfaction questionnaire, a form for recording antimicrobial-resistant outbreak control measures, and a form for recording antimicrobial-resistant infection tests. Data were analyzed using descriptive statistics and chi-square tests.

The results revealed that the patient care system for prevention and control of antimicrobial-resistant infections comprised hospital antimicrobial-resistant infection surveillance, prevention and control of antimicrobial-resistant pathogen transmission, and response to antimicrobial-resistant outbreaks. Professional nurses reported high satisfaction with the patient care system (M 4.33, SD 0.46) and demonstrated high compliance with the patient care system (94.00%). Regarding nursing outcomes after implementing the patient care system, there were no differences in infection rates and mortality rates from antimicrobial-resistant infections between pre- and post-system development (p > 0.05). However, there was a downward trend in both infection and mortality rates from antimicrobial-resistant infections. This study supports the development of a patient care system for preventing and controlling antimicrobial-resistant infections through the continuous integration of nursing knowledge and skills.